title: Effect of phallic stretch on length of bulbous urethral stricture during retrograde urethrography.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effect of phallic stretch on bulbous urethral stricture while performing retrograde urethrography (RUG).
  
  
  METHODS
  Between July 2009 and June 2012, 197 adult males with stricture pattern on uroflowmetry underwent RUG. Two films were taken, first without (film A) and second after stretching the penis by about 5 cm (film B). 29 cases with proximal and distal bulbous strictures were included in the present analysis. The data recorded were stricture lengths in films A and B.
  
  
  RESULTS
  12 men had distal bulbous or penobulbous stricture (group 1) while 17 had stricture involving the proximal bulb (group 2). Mean stricture length in group 1 was 2.82 cm (range 1.2-4.2 cm) in film A and 4.59 cm (range 3.0-6.4 cm) in film B. In group 2 stricture length was 1.76 cm (range 1.0-2.3 cm) in film A and 1.79 cm (range 1.0-2.5 cm) in film B. The percentage change in stricture length on stretching was 38.48% (p = 0.0001) in group 1 and 1.67% (p = 0.8301) in group 2.
  
  
  CONCLUSIONS
  The impact of phallic stretch on radiographic length during RUG was found to be significant in distal bulbous but not in proximal urethral stricture, which is important when interpreting the RUG and deciding the management of stricture.
authors.affiliation: Department of Urology, King George's Medical University (formerly Chhatrapati Shahuji Maharaj Medical University), Lucknow, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Kathpalia
authors.forename: Divakar
authors.initials: D
authors.lastname: Dalela
authors.forename: Apul
authors.initials: A
authors.lastname: Goel
authors.forename: Swarnendu
authors.initials: S
authors.lastname: Mandal
authors.forename: Satya Narayan
authors.initials: SN
authors.lastname: Sankhwar
authors.forename: Rahul
authors.initials: R
authors.lastname: Yadav
authors.forename: Deepak
authors.initials: D
authors.lastname: Nagathan
authors.forename: Deepansh
authors.initials: D
authors.lastname: Dalela
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000473:pathology; D010413:Penis / Q000000981:diagnostic imaging / Q000473:pathology*; D011446:Prospective Studies; D011859:Radiography; D014521:Urethra / Q000000981:diagnostic imaging / Q000473:pathology*; D014525:Urethral Stricture / Q000628:therapy*